Development and evaluation of a health literacy scale for parasitic diseases.
Health education
Health literacy
Health surveillance
Parasitic diseases
Journal
BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551
Informations de publication
Date de publication:
13 Sep 2024
13 Sep 2024
Historique:
received:
24
05
2024
accepted:
02
09
2024
medline:
14
9
2024
pubmed:
14
9
2024
entrez:
13
9
2024
Statut:
epublish
Résumé
Parasitic diseases remain a serious public health problem in China. Health education aimed at disseminating health-related knowledge and promoting healthy behaviours, plays a crucial role in the prevention and control of parasitic diseases. This study aims to develop a tool to measure the parasitic disease health literacy of residents in China. Scale development was based on qualitative and quantitative methods. Qualitative method included focus group discussions and Delphi consultations. A methodological design with multistage sampling and a pilot study was used to evaluate the questionnaire. The scale's reliability was tested using Cronbach's α and split-half reliability, while its construct validity was assessed using confirmatory factor analysis. The scale's passing score was determined using the receiver operating characteristic curve. A cross-sectional survey was conducted in six districts of the prefecture of Jiangsu and residents aged 14-69 years in the participating townships were randomly selected based on their location. The health literacy indicator system for parasitic diseases included 3 first-level, 9 s-level and 23 third-level indicators. The 23-item questionnaire demonstrated good internal consistency (Cronbach's alpha = 0.774) and split-half reliability (Spearman-Brown coefficient = 0.778). The questionnaire's passing score was 60. A total of 990 valid questionnaires were collected from participants in three cities. The percentage of participants with health literacy regarding parasitic diseases was 15.8%. Their scores were influenced by age, income, employment, and educational level. Health literacy of parasitic diseases is an integrated indicator rather than just knowledge or behavior information. The correlation between knowledge and behavior is weak. The capacity for healthy behavior of parasitic disease is associated with the location and culture of the city. For neglected diseases, it is important for people to talk positively about their behaviors with a doctor.
Sections du résumé
BACKGROUND
BACKGROUND
Parasitic diseases remain a serious public health problem in China. Health education aimed at disseminating health-related knowledge and promoting healthy behaviours, plays a crucial role in the prevention and control of parasitic diseases. This study aims to develop a tool to measure the parasitic disease health literacy of residents in China.
METHODS
METHODS
Scale development was based on qualitative and quantitative methods. Qualitative method included focus group discussions and Delphi consultations. A methodological design with multistage sampling and a pilot study was used to evaluate the questionnaire. The scale's reliability was tested using Cronbach's α and split-half reliability, while its construct validity was assessed using confirmatory factor analysis. The scale's passing score was determined using the receiver operating characteristic curve. A cross-sectional survey was conducted in six districts of the prefecture of Jiangsu and residents aged 14-69 years in the participating townships were randomly selected based on their location.
RESULTS
RESULTS
The health literacy indicator system for parasitic diseases included 3 first-level, 9 s-level and 23 third-level indicators. The 23-item questionnaire demonstrated good internal consistency (Cronbach's alpha = 0.774) and split-half reliability (Spearman-Brown coefficient = 0.778). The questionnaire's passing score was 60. A total of 990 valid questionnaires were collected from participants in three cities. The percentage of participants with health literacy regarding parasitic diseases was 15.8%. Their scores were influenced by age, income, employment, and educational level.
CONCLUSIONS
CONCLUSIONS
Health literacy of parasitic diseases is an integrated indicator rather than just knowledge or behavior information. The correlation between knowledge and behavior is weak. The capacity for healthy behavior of parasitic disease is associated with the location and culture of the city. For neglected diseases, it is important for people to talk positively about their behaviors with a doctor.
Identifiants
pubmed: 39271983
doi: 10.1186/s12879-024-09857-1
pii: 10.1186/s12879-024-09857-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
971Subventions
Organisme : International Science and Technology Cooperation Program of Jiangsu Province, China
ID : BZ2020003
Organisme : International Science and Technology Cooperation Program of Jiangsu Province, China
ID : BZ2020003
Organisme : International Science and Technology Cooperation Program of Jiangsu Province, China
ID : BZ2020003
Organisme : International Science and Technology Cooperation Program of Jiangsu Province, China
ID : BZ2020003
Organisme : International Science and Technology Cooperation Program of Jiangsu Province, China
ID : BZ2020003
Organisme : International Science and Technology Cooperation Program of Jiangsu Province, China
ID : BZ2020003
Organisme : International Science and Technology Cooperation Program of Jiangsu Province, China
ID : BZ2020003
Organisme : International Science and Technology Cooperation Program of Jiangsu Province, China
ID : BZ2020003
Organisme : National Natural Science Foundation of China
ID : 82173586
Informations de copyright
© 2024. The Author(s).
Références
Chen J, Ding W, Li Z, Zhou DD, Yang P, Wang RB, et al. From parasitic disease control to global health: New orientation of the National Institute of Parasitic Diseases, China CDC. Acta Trop. 2020;201:105219.
doi: 10.1016/j.actatropica.2019.105219
pubmed: 31614120
The L. Neglected tropical diseases: ending the neglect of populations. Lancet (London England). 2022;399.
Zhou XN. Report on the national survey of important human parasitic disease in China (2015). People’s Medical Publishing House(Beijing, China), 2018;105–107.
Wang JL, Li TT, Huang SY, Cong W, Zhu XQ. Major parasitic diseases of poverty in mainland China: perspectives for better control. Infect Dis Poverty. 2016;5(1):67.
doi: 10.1186/s40249-016-0159-0
pubmed: 27476746
pmcid: 4967992
Qian MB, Li SZ, Zhou XN. After malaria: which parasitic disease will China eliminate next? Nature. 2021;596.
Li T, He S, Zhao H, Zhao G, Zhu XQ. Major trends in human parasitic diseases in China. Trends Parasitol. 2010;26(5).
Zhang L, Yi BY, Yin XZG. Epidemiological characteristics of malaria in China, 2021. Chin J Parasitol Parasitic Dis. 2022;40(2):135–9.
Du HJ, Wen LY, Zhou XN. Current status and new challenges of three important imported parasitic diseases. Chin J Schistosomiasis Control. 2019;31(4):353–67.
Abraham C, Johnson BT, De Bruin M, et al. Enhancing reporting of behavior change intervention evaluations. J Acquir Immune Defic Syndr. 2014;66(Suppl 3):S293–9.
doi: 10.1097/QAI.0000000000000231
pubmed: 25007199
Torres-Vitolas C, Trienekens SCM, Zaadnoordijk W et al. Behaviour change interventions for the control and elimination of schistosomiasis: a systematic review of evidence from low- and middle-income countries. PLoS Negl Trop Dis, 2023, 17.
Qian MB, Zhou CH, Zhu HH, Zhu TJ, Huang JL, Chen YD et al. Assessment of health education products aimed at controlling and preventing helminthiases in China. Infect Dis Poverty. 2019;8(1).
Wang Y, Li C, Zhang J, Yang M, Zhu G, Liu Y et al. Using social media for health education and promotion: a pilot of WeChat-based prize quizzes on China national malaria day. Malar J. 2022;21(1).
Raynor DK. Health literacy. BMJ [Clinical research ed]. 2012;344.
Schulenkorf T, Sørensen K, Okan O. International Understandings of Health Literacy in Childhood and Adolescence-A qualitative-explorative analysis of Global Expert interviews. Int J Environ Res Public Health. 2022;19(3).
Nutbeam D, Lloyd JE. Understanding and responding to Health Literacy as a Social Determinant of Health. Annu Rev Public Health. 2021;42.
Yin A, Bai G, Jiang H, Xiao X, Zhang X, Gu H et al. Validity and reliability of the Parental Health Literacy Questionnaire for Caregivers of Children Aged 0 to 3 years in China. Int J Environ Res Public Health. 2022;19(23).
Dehghani A, Keshavarzi A. Development and validation of a multidimensional health literacy questionnaire for multiple sclerosis patients. Mult Scler Relat Disord. 2018;252.
Leung AY, Lou VW, Cheung MK, Chan SS, Chi I. Development and validation of Chinese Health Literacy Scale for Diabetes. J Clin Nurs. 2013;22:15–6.
doi: 10.1111/jocn.12018
Eliason MJ, Robinson P, Balsam K. Development of an LGB-specific health literacy scale. Health Commun. 2018;33(12).
Li Y, Lv X, Liang J, Dong H, Chen C. The development and progress of health literacy in China. Front Public Health. 2022;10.
Visscher BB, Steunenberg B, Heijmans M, Hofstede JM, Devillé W, van der Heide I et al. Evidence on the effectiveness of health literacy interventions in the EU: a systematic review. BMC Public Health. 2018;18(1).
Castro-Sánchez E, Chang PWS, Vila-Candel R, Escobedo AA, Holmes AH. Health literacy and infectious diseases: why does it matter? Int J Infect Diseases: IJID : Official Publication Int Soc Infect Dis. 2016;43.
Wu SS, Yang P, Li HY, Ma CN, Zhang Y, Wang QY. Study on the index system in evaluating the adult health literacy situation related to infectious disease in Beijing. Chin J Epidemiol. 2012;33(3).
Ponsiglione AM, Amato F, Cozzolino S, et al. A hybrid Analytic Hierarchy process and Likert Scale Approach. for the Quality Assessment of Medical Education Programs.Mathematics; 2022. p. 10.
Weiss BD, Mays MZ, Martz W, Castro KM, DeWalt DA, Pignone MP et al. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med. 2005;3(6).
Anthoine E, Moret L, Regnault A, Sébille V, Hardouin JB. Sample size used to validate a scale: a review of publications on newly-developed patient reported outcomes measures. Health Qual Life Outcomes. 2014;12.
Pan X, Li J, Wei J, Yue Y, Liu L. Measuring green development level at a regional scale: framework, model, and application. Environ Monit Assess. 2022;194(5).
Cao Y, Lu G, Cotter C, Wang W, Yang M, Liu Y et al. Improving the surveillance and response system to achieve and maintain malaria elimination: a retrospective analysis in Jiangsu Province, China. Infect Dis Poverty. 2022;11(1).
Wang Y, Li CY, Zhang JY, Huang YX, Yang K, Liu YB. Construction of a human health literacy indicator system for prevention of parasitic diseases based on Delphi method. Chinese journal of schistosomiasis control. 2023;34(6).(In Chinese)
Ma X, Yang Y, Wei Q, Jiang H, Shi H. Development and validation of the reproductive health literacy questionnaire for Chinese unmarried youth. Reprod Health. 2021;18(1).
Gubbiotti M, Giannantoni A, Rubilotta E, Balzarro M, Bini V, Rosadi S et al. The International Female Coital Incontinence Questionnaire (IFCI-Q): development, validation and reliability study. J Sex Med. 2022;19(1).
Osborne RH, Batterham RW, Elsworth GR, Hawkins M, Buchbinder R. The grounded psychometric development and initial validation of the health literacy questionnaire (HLQ). BMC Public Health. 2013;13.
Li P, Zhang W, Lu C, Zhang R, Li X. Robust kernel principal component analysis with optimal mean. Neural Networks: Official J Int Neural Netw Soc. 2022;152.
Ringnér M. What is principal component analysis? Nat Biotechnol. 2008;26(3).
Griffiths P, Terluin B, Trigg A, Schuller W, Bjorner JB. A confirmatory factor analysis approach was found to accurately estimate the reliability of transition ratings. J Clin Epidemiol. 2022;141.
Lee T, Shi D. A comparison of full information maximum likelihood and multiple imputation in structural equation modeling with missing data. Psychol Methods. 2021;26(4):466–85.
doi: 10.1037/met0000381
pubmed: 33507765
Thammasitboon S, Sur M, Rencic JJ, Dhaliwal G, Kumar S, Sundaram S et al. Psychometric validation of the reconstructed version of the assessment of reasoning tool. Med Teach. 2021;43(2).
Taizhou public data open platform. 2012. http://opendata.taizhou.gov.cn/oportal/index . Accessed Mar 22 2023.
Lianyungang. Accessed Mar 22 public data open platform.2021. http://www.lyg.gov.cn/ . 2023.
Wuxi Statistical Yearbook. 2021 http://daj.wuxi.gov.cn/ztzl/wxnj1/wxnj2021/index.shtml.Accessed Mar 22 2023.
Bi-xian DING, Xin ZHANG, Qiang MF-z, Yang DAI. Analysis of surveillance on soil-transmitted nematode infections in Jiangsu Province from 2017 to 2021. Chinese Journal Parasitol Parasit Disease. 2022;40(06). (In Chinese).
Or PP, Wong BY, Chung JW. To investigate the association between the health literacy and hand hygiene practices of the older adults to help them fight against infectious diseases in Hong Kong. Am J Infect Control. 2020;48(5).
Marciano L, Camerini AL, Schulz PJ. The Role of Health Literacy in diabetes knowledge, Self-Care, and Glycemic Control: a Meta-analysis. J Gen Intern Med. 2019;34(6).